Allergic Reaction (Known or suspected):
Perform EMCAP upon arrival and look for potential environmental threats or causes of patient complaint.
Form a general impression of the patient, noting LOA, evidence of respiratory distress or increased WOB, and skin colour and condition. Address any life threats noted at this time.
Perform the primary assessment, determining LOA/GCS, airway patency, adequacy of respirations, and assessing pulse rate, rhythm, and strength, as well as cap refill. Correct any life threats here before moving forward with assessment.
Obtain chief complaint, and perform the secondary assessment obtaining the HPI, PMHx, Medications, Allergies, and last ins/outs.
Obtain baseline vital signs.
Perform a head to toe assessment beginning with the site of the reaction. Assess for neurological, respiratory, cardiac, gastrointestinal, Genitourinary, and integumentary findings. Ensure auscultation is performed to assess for wheezing, diminished or absent lung sounds.
Suspect anaphylaxis in any patient presenting with 2 or more body systems affected and follow ALS protocol, administering Epinephrine and Benadryl unless contraindicated.
Transport and reassess as appropriate per the standards.
***Pay special attention to any of the following:
Difficulty swallowing or tightness in the throat.
Difficulty breathing or feeling of suffocation.
Fearfulness, anxiety, agitation, confusion, or sense of impending doom.
Generalized itching.
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